Application For Child Care Leave

* Employee ID:

*Name Of The Applicant :	*Designation :
*Mobile 1:	Mobile 2:
E-mail ID:	*Name of the Circle :
*School name :	*Date of first joining in service :
* Date of Completion of 2 years continous and satisfactory service :	*Period of leave as applied for : Minimum days eligible for application - 15 Days	Days
*Leave Purpose :	*Name Of the child :
*Date of Birth of the child : Child DOB Should be greater than(28-Sep-2005)	Is the Child among the two eldest children :
*Any leave in credit (as on Date) :	Prefix of holidays, if any :
Suffix of holidays, if any :	* Total Child Care Leave availed till date :
Date of returns from last leave & nature and period of that leave :	Application date :